Our Claims Service | Motor Claim Form | UKGlobal Broking Group Limited

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In the unfortunate event that you do need to make a claim, we aim to make the process as seamless as possible.

Here at UKGlobal, all our individual business Managing Directors and Account Directors offer a flexible full-service proposition, so the same team who design your insurance portfolio at inception will also look after all your needs throughout your relationship with us, including managing any claims you may need to make.

We are proactive in our claims management, so we try and reach a satisfactory settlement for you as fast as is possible. We will negotiate with insurers on your behalf and will communicate with you throughout the process with regular updates. We fully understand the part we play in helping to reduce the impact a loss may have on your business.

How do I make a claim?

Simply call or email your usual UKGlobal contact. For Motor Claims, please download and complete the document or complete the online form below and email it back to your usual UKGlobal contact, or to your local branch email address.

Download Form

Can we help?

If you need any assistance,
please contact us at:

Click here to complete and submit your Motor Claim Form online.

Online Claim Form

Policy Holder *

Policy Number *

VAT Registered *

Driver Details

Full Name *

Full Address *

Telephone Number *

Date of Birth *

Driving Licence No. *

Date Driving Test Passed *

Details of any previous convictions *

Details of any prosecution or pending police enquiry *

Has the driver ever been advised not to drive by the DVLA or a doctor?

Yes No

Details of any accident, loss, fire or theft in the last 5 years regardless of blame, relating to any vehicle owned or driven by the driver *

Incident Details

Date of incident *

Time of incident *

How it occured *

Location *

Who was at fault? *

Vehicle Details

Make *

Model *

Registration *

Is vehicle usable? *

Description of damage *

Estimated cost of repair *

How can inspection of your vehicle be arranged? *

Third Party Details

Full Name *

Full Address *

Telephone Number *

Email Address *

Make *

Model *

Registration *

Is vehicle usable? *

Insurer *

Policy Number *

Description of damage *

Other Details

Details and contact information of any injured parties *

Nature of injuries *

Name and contact details of any witnesses *

If Police involvement, supply reference number *

Please attach a sketch showing positions of vehicles and direction of travel and all road signs and markings. If possible, please also attach photographs of the accident scene.

Completed by *

Date *

I consent to the collection & storing of my personal data from this form